Film Critique of the Cervical and Thoracic Spine



Film Critique of the Cervical and Thoracic Spine

AP C-spine

the T1-T2 articulation should be seen on the film

the mastoid processes should be symmetrical

the mandible should superimpose the base of the skull and C1 and/or C2

the intervertebral disk spaces should be clearly demonstrated

AP open-mouth odontiod

the entire atlas and axis should be included on the film

C1 should be in the center of the film

the lateral masses should be equal distances from the rami of the mandible

the lower edge of the incisors should be even with the base of the skull

zygopophyseal joints should be visualized between C1 and C2

Oblique C-spine

C1-C7 should be included on the film

C1 should be demonstrated without superimposition of the occipital bone

the intervertebral disk spaces should be clearly demonstrated

the mandible should not be superimposed over the vertebrae

when doing PA obliques, intervertebral foramina furthest from the film is demonstrated

when doing AP obliques, intervertebral foramina closest to the film is demonstrated

Lateral C-spine

C1 – C7 should be included on the film

If the C7-T1 disk space is not visualized, perform additional “swimmer’s” view

zygapophyseal joint spaces, intervertebral disk spaces, and spinous processes of C2-C7 demonstrated

vertebrae should be free of superimposition of the mandible

the EAM’s should be superimposed

Swimmer’s view

C5-T4 should be included on the film (depending on Radiologist’s preference)

C7-T1 disk space should be adequately penetrated with proper density

humeral heads should be separated

AP T-spine

vertebral bodies of C7-L1 should be included

sternoclavicular joints should be symmetrical

spinous process should align with the middle of the vertebrae

intervertebral disk spaces should be clearly demonstrated

Lateral T-spine

vertebral bodies of T3-L1 should be visualized with adequate penetration and density

posterior ribs should be superimposed

intervertebral disk spaces should be clearly demonstrated

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